DR. SHANE MICHAEL THOMAS (NPI# 1407134034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407134034 |
| Entity Type | Individual |
| Full Name | DR. SHANE MICHAEL THOMAS |
| Credential | D.O. |
| Practice Address |
4524 173rd Ave Se Bellevue WA 98006-6524 |
| Practice Telephone | 8164827200 |
| Mailing Telephone | 8164827200 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | H74875 | MD | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 60657764 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560402 | Shane Mary Thomas | Speech-Language Pathologist | 17060 Dallas Pkwy Ste 105, Dallas, TX 75248-1905 | 2020-05-22 |
| 1225489735 | Shane Mathew Thomas | Dentist | 816 Joslyn Ave, Pontiac, MI 48340-2919 | 2016-06-27 |
| 1982011672 | Shane Thomas | Nurse Practitioner | 10059 N Reiger Rd, Baton Rouge, LA 70809-4559 | 2014-07-15 |
| Street Address |
4524 173RD AVE SE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821309147 | Li Zhai | General Practice | 1406 140th Pl Ne Ste 100, Bellevue, WA 98007-3941 | 2010-07-01 |
| 1275656076 | Daria Marie Davidson | General Practice | 1400 112th Ave Se Ste 100q, Bellevue, WA 98004-6901 | 2007-04-08 |
| 1144885245 | Ashley Anne Triboulet | General Practice | 10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022 | 2019-05-03 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1831444306 | Barry Weiss | General Practice | 10655 Ne 4th St, Ste 310, Bellevue, WA 98004-5035 | 2012-07-19 |
| 1760737654 | Mark Dedomenico | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2012-07-17 |
| 1649551037 | Sage Medical Group | General Practice | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2011-08-30 |
| 1396031100 | Michael Woo, Nd, L.ac. Inc. | General Practice | 2320 130th Ave Ne, Suite 120, Bellevue, WA 98005-1752 | 2011-06-21 |
| 1841420593 | Patrick Phan, M.d., P.s. | General Practice | 2902 112th Ave Se, Bellevue, WA 98004-7528 | 2009-07-15 |
| 1255512885 | Joseph Walter Upton IIi | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-11-26 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.